NPIMap

Organization Active NPI

Robert Goodis DDS and Nate Weiner DDS

Doing business as Lakewood Dental Arts

  • Dentist
  • Lakewood, CA
National Provider Identifier
1790999340
Registry record updated Jul 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
ROBERT GOODIS DDS AND NATE WEINER DDS
Doing business as
Lakewood Dental Arts
Practice address
5555 Del Amo Blvd
Lakewood, CA 90713-2307
Phone
(562) 866-1735
Fax
(562) 866-8190
NPI assigned
May 10, 2007
Last updated
Jul 11, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Robert K Goodis, DDSNPI 1982737094
Title
Owner
Phone
(562) 866-1735

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X NU Primary

Addresses

Primary practice location

5555 Del Amo Blvd
Lakewood, CA 90713-2307

Mailing address

5555 Del Amo Blvd
Lakewood, CA 90713-2307
Phone (562) 866-1735

Other names 1

  • Lakewood Dental Arts Doing business as

National Provider Directory

National Provider Directory

Locations

5555 Del Amo Blvd
Lakewood, CA 90713
Phone (562) 384-1091

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1790999340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 DEL AMO BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132307",
            "telephone_number": "562-866-1735",
            "fax_number": "562-866-8190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 DEL AMO BLVD",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907132307",
            "telephone_number": "562-866-1735",
            "fax_number": "562-866-8190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT GOODIS DDS AND NATE WEINER DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-10",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "GOODIS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-866-1735",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lakewood Dental Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lakewood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.